Individual
MISS PAULA ELLEN NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21539 S SORYL AVE, PECULIAR, MO 64078-9253
(417) 955-2632
Mailing address
21539 S SORYL AVE, PECULIAR, MO 64078-9253
(417) 955-2632
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69507
MO
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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